Individual
MACEY JAMES KLOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8324 W HIGHWAY 22, CRESTWOOD, KY 40014-8039
(502) 813-0632
Mailing address
8324 W HIGHWAY 22, CRESTWOOD, KY 40014-8039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I14494
KY
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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